Question

Hormone replacement therapy (HRT) for women undergoing menopause, either natural or surgical, is the subject of a number of studies and debate. On one hand, it relieves many of the unpleasant symptoms of menopause and reduces the risk of coronary artery disease and osteoporosis in post-menopausal women- both major courses of morbidity and mortality. On the other hand, it may increase the risk of endometrial cancer or breast cancer in some women. Review the current literature on the risks and benefits of HRT and answer the following questions:

1 How does the epidemiologic evidence contribute to a woman's decision to use or not use HRT?

2) What is the nurse's role in interpreting the evidence and assisting in the decision-making process?

Answer 1

Ans)

1) The revolutionary observations regarding the early stopping of (WHI)Women's Health Initiative clinical test of a particular type of HRT, in the year 2002 was increasingly deceptive.They also showed that the investigation was terminated because HRT leads to the breast cancer and the heart failure, when in the actuality the investigation was terminated for major ultra-fine reasons and there was no major injury for the heart failure or the cancer of breast.However, the remarkable report suddenly concluded in females across the globe abandoning HRT.

-- The investigation examining the conjugated equine estrogen solo in females with earlier hysterectomy, established fashion in breast cancer and heart failure.Results proposed a decreased range of breast cancer with that type of HRT and also decreased range of heart failure in the females who were having the age below 60 when they start HRT.

2) The Menopause is a normal incident that each women undergo in their life.The health problems regarding the females in the mid-life had leads to a main center in inhibitory healthcare, holistic, which is mainly guided by nurses.

-- The disagreement go on regarding the dangers and advantages of the hormone replacement therapy for the females at the time of their peri menopause and post menopause.So Any way presently the nurses are having understanding about the hormone replacement therapy to advise the patients successfully.

-- At the time when a women think about the hormone replacement therapy, a nurse takes the place of educator, advisor and also as a partner in the controlling of this health worries.So all the nurses should be very familiar with the details of exogenous hormone replacement- signs, course of action and the side effects, and also the healthcare advantages and patient worries.

Thanks!!!!